NPIMap

Organization Active NPI

Quality Chiropractic & Rehab

  • Sports Physician Chiropractor
  • Herndon, VA
National Provider Identifier
1831331214
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
D104001065 Issued in VA
Legal business name
QUALITY CHIROPRACTIC & REHAB
Practice address
102 Elden St
Suite 12
Herndon, VA 20170-4868
Phone
(703) 581-8999
Fax
(703) 787-3851
NPI assigned
Mar 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Camille D'Amato, DC
Title
Owner
Phone
(703) 581-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X D104001065 VA Primary

Addresses

Primary practice location

102 Elden St
Suite 12
Herndon, VA 20170-4868

Mailing address

102 Elden St
Suite 12
Herndon, VA 20170-4868
Phone (703) 581-8999

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1831331214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST",
            "address_2": "SUITE 12",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704868",
            "telephone_number": "703-581-8999",
            "fax_number": "703-787-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST",
            "address_2": "SUITE 12",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704868",
            "telephone_number": "703-581-8999",
            "fax_number": "703-787-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CHIROPRACTIC & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "D'AMATO",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-581-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "D104001065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.